Published Papers
Published Papers
“A Patient-Centered Framework for Health Systems Engineering in Gastroenterology: Improving Inpatient Colonoscopy Bowel Preparation.” (with Alexandra Strauss et al.)
BMC Gastroenterology (2021) 21: 89.
“Comparison of Powered Drill & Manual Bone Biopsy Systems: Does the Diagnostic Yield Justify the Cost?” (with Eric Huh et al.)
Journal of Clinical Neuroscience (2020) 73: 125-129.
“A Multidisciplinary Clinical Care Pathway Improves the Quality of Inpatient Colonoscopy Bowel Preparations.” (with Alexandra Strauss et al.)
American Journal of Gastroenterology (2018) 113: S58.
Work in Progress
“Most Favored Nation Pricing: A Brief Calculation of Domestic Effects and Potential Shifts in Health-related Quality-of-life.” (Ongoing June 2025)
“Dancing Around the Cutoff Line--The Labour Market Spillover Effects Beyond Cost-Effectiveness Analysis Reforms in the United States.” (TBD)
“Are Patients Harmed By Policies Relying on Outdated Cost-Effectiveness Analysis? Evidence in Canada 2000-2019.” (TBD)
Working Papers & Technical Reports
(Manuscripts available by request)
“Justification of the Generalized Risk-Adjusted Cost-Effectiveness (GRACE) Framework in Benefit-Cost Analysis: An Application on Acute Ischemic Stroke Patients at the Johns Hopkins Health System.” Master Thesis (2024)
I am assessing the extra social cost of caregiving by considering the labor changes and mental burden experienced by spouses and other family members who provided unpaid/informal care to patients. This evaluation is conducted based on the cost per quality-adjusted life years (QALY) of the caregivers, which replaced the common practice of using willingness-to-pay (WTP) per QALY for the patient as a common standard. My research initially focus on first-time acute stroke survivors with long-term care requirements.
“Clinical Implications of a Race-Specific Approach to Spirometry Interpretation in COPD.” (with Aparna Balasubramanian et al.)
Division of Pulmonary Medicine, School of Medicine, JHU (2022)
In our evaluation of COPD exacerbation, we examined its characteristics and conducted race-specific assessments. Through logistic regression, we observed a significant difference in exacerbation rates among different races, even after controlling for medication intake and relevant behavior changes. Additionally, we analyzed spirometry features with a particular focus on immune standards using an ordered logit model to assess exacerbation levels.
“COVID-19 Testing Turnaround Time Reduction in the Adult Emergency Department: An Idle Time Minimization Study of Discharged Patients in the JHH.” (with Ajit Munjuluru et al.) Office of Capacity Management, Emergency Medicine, JHHS (2021)
By integrating the Nurse-initiated Protocol Order (NIPO) and implementing the concept of "music chairs," we successfully optimized the allocation of "runners" across various testing locations and improved the efficiency of lab test processing. This initiative effectively mitigated the bullwhip effect observed in surgical queues within the emergency department. Consequently, we achieved COVID-19 testing results for over 85% of patients in under 3 hours when golden standard was set at 24 hours.
“Predicting Tumor Location of Pancreatic Cancer Patients Based on Breath-holding Method.” (w/ Sarah Han-Oh & Hui-Yun Lin)
Department of Radiation Oncology Physics, School of Medicine, JHU (2021)
Utilizing a two-stage model incorporating bowel gas as a factor, we applied a random forest model to predict the location of pancreatic cancer tumors within the detectable range using the breath-holding method. Our team achieved an accuracy rate of over 75% in these predictions.
“An Inverse Relationship between Device Costs and Outcome.” (with Ferdinand Hui & Mais Miller)
Department of Neurology, School of Medicine, JHU (2021)
Through the integration of results obtained from Propensity Score Matching and Difference in Differences Models in our previous project, we conducted a reassessment of hospital stay costs. Our findings indicate that for every $1 invested in the implementation of AI tools alongside process improvements over a period of 5 years, there is an estimated return of $5.3-6.4 derived from a comprehensive cost-benefit analysis, considering different model assumptions over three commonly applied transformational techniques.
“Justifying Outcome Improvements on Acute Ischemic Stroke: A Value Proposition on AI Intervention.” (with Ferdinand Hui et al.)
Cerebrovascular Neurology, Department of Neurology, JHHS (2020)
Through implementing both Propensity Score Matching and Difference in Differences Models, our analysis revealed that Johns Hopkins University's emergency department is treating patients with acute ischemic stroke who are in a more critical condition, thereby explaining the comparable mortality rates observed. The results indicate a significant improvement of at least 0.21-0.25 Quality-Adjusted Life Years (QALYs) when comparing the modified Rankin Score (mRS) outcomes to the original outcomes.
“Forecasting Pediatric Patient Volume in Operation Rooms: Staffing and Scheduling by Calendrical and Weather Features in the JHH.”
(with Rahul Koka & Syedmehdi Rizvi) Pediatric Orthopedics, Pediatric Surgery, JHHS (2019)
Using random forest models, we made predictions on whether children would visit pediatric orthopedics for fractures based on precipitation and calendrical data. Our model achieved an accuracy of 79%. Upon obtaining the results, we adjusted the time block of schedules by shifting it 30 minutes earlier, resulting in a 31% decrease in length of stay (LOS). This reduction in LOS translates to a cost savings of $550 per patient per visit, as determined by running a median regression analysis.
“Misevaluated in Vietnam? Reevaluated Dummies and Item Response Theory, Findings in Save the Children: Skills to Succeed Project Data.”
Skills to Succeed, Hunger and Livelihood, Save The Children (2017)
Using Item Response Theory, I matched questionnaire responses with monitored bank account transactions for Vietnamese young adults. My findings indicate that children from different cities provided varying responses. After controlling for socioeconomic background, the initially claimed 11% improvement attributed to the specific training program (S2S) decreased significantly to 2-4%. However, a consistent growth trend in numbers has been evident since 2014.
“Cab Economics: How did Uber Influence the Taxi Industry in Taiwan? Evidence from Field Data.” Bachelor Thesis
Presented at an event held by Market Intelligence & Consulting Institute, Institute for Information Industry (2016)
By incorporating oil expenditure adjustments for endogenous effects and conducting interviews with over 200 part-time drivers, I built OLS models revealing a 25% crowd-out effect on "dispatching drivers." However, the impact on "running drivers" was found to be insignificant. Moreover, our findings suggest a minimum multiplier gain of 3.2 times per dollar loss experienced by taxi drivers in Taiwan by 2015-16.
Key Hospital Projects (Johns Hopkins)
“Supply Chain Re-evaluation for Pyxis Update.” (2018)
“IV Pump Trend Monitoring Project with Time Series Elements.” (2019)
“Simulating ECMO Cart Requirements to Cope with Unscheduled Patient Inflow.” (2019)
“COVID-19 Trend Prediction for Critical Equipment Restocking and Decision-making.” (2020)
“Fitting Occupancy Data to the Hockey Stick-shaped Waiting Time.” (2021)